Lyme Disease — MCQs

A young man, home on leave from the military, went camping in the woods to detect deer movement for future hunting. Ten days later, he developed fever, malaise, and myalgia. Leukopenia and thrombocytopenia were observed, as well as several tick bites. Which of the following statements best describes human monocytic ehrlichiosis (HME)?

Soft tick transmits:

A farmer presents with severe leg pain, fever, chills, retro-orbital pain, and bilateral conjunctival suffusion. What is the most likely diagnosis?

A 25-year-old male university student presented with a history of multiple tick bites 45 days prior, followed by recurring episodes of high-grade fever, headache, myalgias, arthralgias, nausea, and occasional vomiting. Each episode lasted approximately 6-7 days with symptom-free intervals of 9-10 days. Physical examination revealed mild splenomegaly and skin lesions. A Wright stain of the patient's peripheral blood smear was performed. What is the first oral drug of choice for this patient?

Erythema chronicum migrans is associated with which of the following conditions?

Which of the following pairs of conditions is incorrectly matched?

Which of the following is the carrying agent for Lyme disease?

A 38-year-old man with a known history of well-controlled plaque psoriasis on his elbows and knees presents for a routine review. He mentions his nails have become unsightly and occasionally painful. Examination of the hands is performed and the findings are shown (Image 3). Which histopathological finding in the nail unit is most directly responsible for the proximal nail plate changes visible in this image?

A patient presents with multiple hypopigmented and hypesthetic patches on the lateral aspect of the forearm, with abundant acid-fast bacilli (AFB) and granulomatous inflammation on histology. What is the most likely diagnosis?

What is the worldwide accepted minimum dose of penicillin for latent syphilis?